Provider Demographics
NPI:1295261972
Name:ANDREA CHRISTINE ALVIAR
Entity type:Organization
Organization Name:ANDREA CHRISTINE ALVIAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIVATE DUTY NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:ALVIAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:608-225-0031
Mailing Address - Street 1:313 TIDER DR
Mailing Address - Street 2:
Mailing Address - City:EDGERTON
Mailing Address - State:WI
Mailing Address - Zip Code:53534-2106
Mailing Address - Country:US
Mailing Address - Phone:608-225-0031
Mailing Address - Fax:
Practice Address - Street 1:313 TIDER DR
Practice Address - Street 2:
Practice Address - City:EDGERTON
Practice Address - State:WI
Practice Address - Zip Code:53534-2106
Practice Address - Country:US
Practice Address - Phone:608-225-0031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI233344-30251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care